Deficiency Records for Bethany Rehab and Hcc
Updated as of June 01, 2019
This is not the most recent data for Bethany Rehab and Hcc. For the most recent information, click here.
A list of the most recent deficiencies for Bethany Rehab and Hcc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-28 | 2019-03-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-01-15 | 2019-01-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-07-13 | 2018-07-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-07-13 | 2018-07-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-07-13 | 2018-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-13 | 2018-07-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-13 | 2018-07-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-13 | 2018-07-31 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-06-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-24 | 2018-06-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-04-04 | 2018-04-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-02-21 | 2018-02-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-21 | 2018-02-21 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-28 | 2017-07-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-07 | 2017-06-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-07 | 2017-06-19 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-07 | 2017-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-07 | 2017-06-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-07 | 2017-06-19 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-09 | 2017-03-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-09 | 2017-03-22 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-09 | 2017-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-05 | 2016-12-19 | Y |
| The appropriate emergency electrical system. | Fire Safety | 2016-07-07 | 2016-08-23 | N |
| Approved construction type or materials. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Portable fire extinguishers. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| An externally vented heating system. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-07 | 2016-07-29 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-07-08 | 2016-07-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-08 | 2016-07-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-08 | 2016-07-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-08 | 2016-07-29 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-07-08 | 2016-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-08 | 2016-07-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-08 | 2016-07-29 | N |
